HomeMy WebLinkAbout2265 Camino Vida Roble; 101; CBC2019-0060; Permit(city of
Carlsbad
Commercial Permit
Print Date: 05/15/2019 Permit No: CBC2019-0060
Job Address:
Permit Type:
Parcel No:
Valuation:
Occupancy Group:
# Dwelling Units:
Bedrooms:
2265 Camino Vida Roble, 101
BLDG-Commercial
2130502400
$2,000.00
Work Class:
Lot#:
Reference#:
Construction Type:
Bathrooms:
Orig. Plan Check#:
Sign
DEV2019-0021
Status:
Applied:
Issued:
Permit
Finaled:
Inspector:
Closed -Finaled
02/11/2019
02/11/2019
MColl
Plan Check#:
Final
Inspection: 5/15/2019 7:33:2DAM
Project Title: THE FIELDS
Description: THE FIELDS: 43 SF ILLUM SIGN
BUILDING PERMIT FEE ($501-$2000)
BUILDING PLAN CHECK FEE (BLDG)
Owner:
UCC DISTRIBUTING INC.
RBCORELP
1780 Po Box
LA MESA, CA 91944
ELECTRICAL BLDG COMMERCIAL NEW/ADDITION/REMODEL
5B1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-COMMERCIAL
Total Fees: $137.54 Total Payments To Date: $137.54
Contractor:
FORD SIGNS INC
1605 Ord Way
Oceanside, CA 92056-3599
760-631-1936
Balance Due:
Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter
collectively referred to as "fees/exaction." You have 90 days from the date this permit was issued to protest imposition of these
fees/exactions. If you protest them, you must follow the protest procedures set forth in Government Code Section 66020(a), and file the
protest and any other required information with the City Manager for processing in accordance with Carlsbad Municipal Code Section
3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack, review, set aside, void, or annul their
imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection
fees and capacity changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this
project. NOR DOES IT APPLY to any fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the
statute of limitation has previously otherwise expired.
$0.00
163S Faraday Avenue, Carlsbad, CA 92008-7314 I 760-602-2700 I 760-602-8560 f I www.carlsbadca.gov
$72.93
$51.05
$12.DO
$1.00
$D.56
~:~
'(~ '• ~ CITY OF
CARLSBAD
Building Permit Application
1635 Faraday Ave., Garlsbad, CA 92008
760-602-2717 / 2718/ 2719
Fax: 760-602-8558
www.carlsbadca.gov
SUITE#/SPACE#/UNIT#
Plan Check No.
Est. Value
Plan Ck. Deposit
Date 2.-\ \-\9
APN
# Of UNITS # BEDROOMS # BATHROOMS CON TR. TYPE OCC. GROUP
EXISTING USE AIR CONDITIONING FIRE SPRINKLERS
YES O NOD YES O NOD
CONTACT NAME (If Different Fom Applkant)
ADDRESS
CITY STATE ZIP ZIP
PHONE FAX P/20
EMAIL
L·
J11f0
q
ARCH/DESIGNEfi NAME & ADDRESS STATE UC.#
Worker•' CompensaUon Declaration: J hereby alf11m under penalty of perjury one of the following declarations:
0 I have and wlU maintain a cartlfica1e of consent to self-Insure for workers' compensation as provided lly Section 3700 of the labor Code, for the performance of the work for which this pennil is issued.
I have and will maintain wot:-!rs' co!':sat~n~ ~ by Seel!: ~~abor Code, for the _perfOflTia1)Ce of~~~ ~i"s isr: ~ ~pensa
number are: Insurance Co,jtJ $ c.;.P}. {Ij__ ~ ~ fA. ~ Pohcy No. w.._"2./.-l.. +£,.L ~{ ~ration Date _-i:;1-1-'--'9-+-f'~'---
This section need not be completed if the permit Is for o hundred dollars ($100) or less.
D Certificate of Exemption: l certify that In !he perfomlance of the work for which !his permit is issued, I shall not employ any person in any manner so as to become subfeci to tha Workers' Compensation Laws of
ca~fornia. WARNING: Failure to secure orkers' compen · n coverage Is unlawful, and shall subject an employer to crimlnal penalties and civil fines up lo one hundred thousand dollars {&100,000), in
addHlon lo the cost of compensaUo -..,...,.,1s provided f r n Section 370! of !he Labor code, interest and attorney's fees.
~ CONTRACTOR SIGNATURE
I, as owner of the property or my employees with wages as their sole compensation, will do the worll and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the buijding or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he d~ not build or improve for the purpose of sale).
O t, as owner of lhe properly, am exclusively contracting with licensed contractors to construct lhe project (Sec. 7044, Business and Professions Code: The Contractor's License law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contracior(s) licensed pursuant to the Contractor's License law).
□ I am exempt under Section _____ Business aml Professior;s Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed properly improvement. □ Yes O No
2. I {have/ have not) signed an application for a building perm ii for the proposed work.
3. I have contracted with the lollowlng person (firm) lo provide the proposed construction {include name address/ phone/ contractors' licerise number):
4. I plan to provide portions of the work, but I have hired the following person lo coordinate, supervise and provide the major work (include name/ address/ phone/ contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons lo provide the wak indicated (include name I address/ phone/ type of work)·
~ PROPERTY OWNER SIGNATURE DATE
Is the applicant or fu!ure building occupant required to submit a business plan, acutely hazardous ma!erials registration form or risk management and prevention program under Sections 25505, 25533 a 25534 of the
Presley-Tann~r Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pcilution control district m air quality managemen1 district? □ Yes □ No
ls the facility to be constructed within 1.000 feel of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE REQUIREMENTS OF THE OFFICE Of
EMERGENCY SERVICES ANO THE AIR POLLUTION CONTROL DISTRICT.
I certify that I have read the application and state that the above infonnation Is conect and that the Information on the plans Is accurate. I agree to comply with all City ordinances and State laws lllfatlngto bulldtng construction.
I hereby aulhorize representaM of~ City of Cansbad kl enter up:>n lhe above menti::lned property for inspection pu,poses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGAJNST ALL LL'\BILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANT NG OF THIS PERMIT.
OSHA: All OSHA pe,mit is f'8QUiad br excavations over 5'0' deep and demolioon or construction of struciJres over 3 stories in tie.Jhl.
EXPIRATION: Every permit issued by the Building Offoa/ under lhe provisions of lhis Code shall expire by Imitation and becane f\UU and void ff lhe buildJlg or wcrk authorized by sudl permit is not oommeoc:ed 1Mlhin
180 days from lhe dale of such · ing or'Mlfk a by such permit is suspended 0tabandoned at any time after the WOOi. is oommenced for a period of 1 days (Sedion 106.◄.4 l.lnibm Building Code).
,65 APPLICANT'S SIGNATURE DATE
PERMIT INSPECTION HISTORY REPORT (CBC2019-0060)
Permit Type: BLDG-Commercial Application Date: 02/1112019 Owner:
Work Class: Sign Issue Date: 02/11/2019 Subdivision:
Status: Closed -Finaled Expiration Dato: 11/05/2019 Address:
!VR Number: 16982
Scheduled
Date
Actual
Start Date Inspection Type Inspection No. Inspection Status Primary Inspector
05/09/2019 05/0912019
05/15/2019 05/15/2019
BLDG-38 Signs 091331-2019
BLDG-Final
Inspection
BLOG-Final
Inspection
Checklist Item
BLDG-Building Deficiency
091332-2019
Checklist Item
BLDG-Building Deficiency
BLDG-Electrical Final
092003-2019
Chcckhst ltern
BLDG-Building Deficiency
BLDG-Building Deficiency
BLDG-Electrical Final
Passed Michael Colllns
COMMENTS
Per plan.
Partial Pass Michael Collini
COMMENTS
Complete panel & circuit labeling at roof top
disconnect
Passed Michael Collins
COMMENTS
Disconnect labeling in place.
Complete panel & circuit labeling at roof top
disconnect.
UCC DISTRIBUTING INC.
PARCEL MAP NO 07150
2265 Camino Vida Roble , 101
Carlsbad, CA 92011-1502
Re inspection Complete
Complete
Passed
Yes
Reinspection Incomplete
Passed
Yes
Yes
Complete
Passed
Yes
Yes
Yes
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